Kenneth Wayne Culver, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07018600 Issued in NJ

Practice address

2 Village GRN Apt a
Budd Lake, NJ 07828

Phone

(215) 630-9340

NPI assigned

Sep 30, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1700036498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE GRN APT A",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281302",
            "telephone_number": "215-630-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VILLAGE GRN APT A",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "215-630-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Health Plz",
            "address_purpose": "LOCATION",
            "city": "East Hanover",
            "state": "NJ",
            "postal_code": "079361016",
            "country_code": "US",
            "telephone_number": "862-778-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULVER",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07018600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Bonita Cooke
• Core Insights Counseling LLC
• Amanda Marie Correy
• Sylvia Couvertier, RPH
• Samantha Marie Crane
• Maya Daniel
• Amanda Jean Davis, M.ED, MA, BCBA
• Dayspring Counseling, LLC
• Renee M De Luca, M.A. C.C.C.
• David Degiralamo, DMD

• Pediatrics Physician in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.